PDF(Pubmed)
Abstract：
UNASSIGNED: At least one in three individuals who are prelingually deaf has special needs, most commonly due to intellectual disabilities. The scant literature on challenging behavior in this population, however, suggests high rates of prevalence and an important need to better understand the contributing factors.
UNASSIGNED: We sought to analyze the prevalence of maladaptive behavior and its association with intellectual functioning, adaptive skills, language skills, and social communication in a population of adults with deafness and special needs.
UNASSIGNED: Participants were 61 individuals from three therapeutic living communities established for people with deafness and special needs. The participants had a mean age of 54.7 years, 64% were male. Intellectual functioning was measured with two versions of the Snijders-Oomen Non-verbal Intelligence Scale. The Vineland-II Scales were used to assess adaptive and maladaptive behavior. Language skills were measured with instruments specifically adapted for this population, including the Reynell Developmental Language Comprehension Scale, the comprehension scale of the Child Development Inventory, and the Profile of Multiple Language Proficiencies. Due to high correlations between instruments, a composite language score was used. A specific questionnaire to measure social communication in adults with intellectual disabilities was also utilized.
UNASSIGNED: The mean nonverbal developmental reference age was 6.5 years, whereas the equivalent for the language measures was about 3.5 years. The prevalence rate of elevated maladaptive behavior was 41% (v-scale score ≥18) and 18% of the participants had a clinically significant score (v-scale score ≥21). Regression analyses showed that only language and social communication skills were significantly associated with maladaptive behavior, while intellectual functioning and adaptive skills were not.
UNASSIGNED: These findings emphasize the importance of the constant promotion of communicative skills, as those people with better language and social communication skills demonstrate lower levels of maladaptive behavior.
UNASSIGNED: We sought to analyze the prevalence of maladaptive behavior and its association with intellectual functioning, adaptive skills, language skills, and social communication in a population of adults with deafness and special needs.
UNASSIGNED: Participants were 61 individuals from three therapeutic living communities established for people with deafness and special needs. The participants had a mean age of 54.7 years, 64% were male. Intellectual functioning was measured with two versions of the Snijders-Oomen Non-verbal Intelligence Scale. The Vineland-II Scales were used to assess adaptive and maladaptive behavior. Language skills were measured with instruments specifically adapted for this population, including the Reynell Developmental Language Comprehension Scale, the comprehension scale of the Child Development Inventory, and the Profile of Multiple Language Proficiencies. Due to high correlations between instruments, a composite language score was used. A specific questionnaire to measure social communication in adults with intellectual disabilities was also utilized.
UNASSIGNED: The mean nonverbal developmental reference age was 6.5 years, whereas the equivalent for the language measures was about 3.5 years. The prevalence rate of elevated maladaptive behavior was 41% (v-scale score ≥18) and 18% of the participants had a clinically significant score (v-scale score ≥21). Regression analyses showed that only language and social communication skills were significantly associated with maladaptive behavior, while intellectual functioning and adaptive skills were not.
UNASSIGNED: These findings emphasize the importance of the constant promotion of communicative skills, as those people with better language and social communication skills demonstrate lower levels of maladaptive behavior.
摘要：
■至少三分之一的语前聋人有特殊需要，最常见的原因是智力障碍。关于这一人群挑战行为的文献很少，然而,提示患病率高，需要更好地了解其影响因素。
■我们试图分析适应不良行为的患病率及其与智力功能的关联，适应性技能,语言技能,在有耳聋和特殊需要的成年人群体中进行社会交往。
■参与者是来自三个为耳聋和特殊需要的人建立的治疗生活社区的61个人。参与者的平均年龄为54.7岁，64%为男性。使用Snijders-Oomen非语言智力量表的两个版本来测量智力功能。Vineland-II量表用于评估适应性和适应性不良行为。使用专门针对该人群的工具测量语言技能，包括雷诺发展语言理解量表，儿童发展量表的理解量表，和多语言能力简介。由于仪器之间的高度相关性，使用了复合语言评分。还使用了专门的问卷来衡量智障成年人的社会交流。
■平均非语言发育参考年龄为6.5岁，而语言衡量标准的等值约为3.5年。适应不良行为升高的患病率为41％（v量表评分≥18），18％的参与者具有临床显着评分（v量表评分≥21）。回归分析表明，只有语言和社会沟通能力与适应不良行为显着相关，而智力功能和适应技能却没有。
■这些发现强调了不断提升交际能力的重要性,因为那些语言和社会沟通能力较好的人表现出较低水平的适应不良行为。
■我们试图分析适应不良行为的患病率及其与智力功能的关联，适应性技能,语言技能,在有耳聋和特殊需要的成年人群体中进行社会交往。
■参与者是来自三个为耳聋和特殊需要的人建立的治疗生活社区的61个人。参与者的平均年龄为54.7岁，64%为男性。使用Snijders-Oomen非语言智力量表的两个版本来测量智力功能。Vineland-II量表用于评估适应性和适应性不良行为。使用专门针对该人群的工具测量语言技能，包括雷诺发展语言理解量表，儿童发展量表的理解量表，和多语言能力简介。由于仪器之间的高度相关性，使用了复合语言评分。还使用了专门的问卷来衡量智障成年人的社会交流。
■平均非语言发育参考年龄为6.5岁，而语言衡量标准的等值约为3.5年。适应不良行为升高的患病率为41％（v量表评分≥18），18％的参与者具有临床显着评分（v量表评分≥21）。回归分析表明，只有语言和社会沟通能力与适应不良行为显着相关，而智力功能和适应技能却没有。
■这些发现强调了不断提升交际能力的重要性,因为那些语言和社会沟通能力较好的人表现出较低水平的适应不良行为。
